Chapter 26. Arteriovenous Fistula Aneurysm

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11120%2F17%3A43916111" target="_blank" >RIV/00216208:11120/17:43916111 - isvavai.cz</a>

Result on the web

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DOI - Digital Object Identifier

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Result language

angličtina

Original language name

Chapter 26. Arteriovenous Fistula Aneurysm

Original language description

The incidence of aneurysms of arteriovenous fistula in haemodialysis patients is reported to be as high as 60%. Although the clinical presentation of arteriovenous fistula aneurysm is often asymptomatic, symptomatic cases should be associated with serious complications. Despite the development of various surgical and endovascular procedures to treat arteriovenous fistula aneurysms, clinical guidelines are limited in terms of when and how to intervene. The objective of this chapter is to discuss the definition, aetiology, classification, clinical presentation, indications and methods for treatment of arteriovenous fistula aneurysm. The authors’ experience and a non-systematic literature review of articles published between January 1973 and June 2016 were used as the source of information for this chapter. Databases searched include Medline, Science direct, Scopus and the Cochrane Database of Systematic Reviews. Eligibility criteria were aneurysm of arteriovenous fistula and treatment techniques. Information regarding aneurysms and pseudoaneurysms involving prosthetic arteriovenous access were not included in this chapter. Indications for treatment of arteriovenous fistula aneurysm are patient discomfort, bleeding prevention and low or high flow. The diameter of the arteriovenous fistula aneurysm is not a sole indication for treatment. The most frequently used techniques for treating arteriovenous fistula aneurysm are resection with interposition, remodelling and stentgraft implantation. Arteriovenous fistula aneurysm is characterized by an enlargement of all three vessel layers to a diameter of more than 18 mm. In asymptomatic aneurysms, conservative treatment is recommended. The main indications for treatment of a symptomatic aneurysm are patient discomfort, bleeding prevention and low or high flow. The diameter of an arteriovenous fistula aneurysm and cosmetic issues should not be used as the sole indications for treatment. Although various surgical and endovascular techniques have been described, no prospective comparative study between these techniques exists and no particular method is recommended.

Czech name

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Czech description

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Type

C - Chapter in a specialist book

CEP classification

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OECD FORD branch

30212 - Surgery

Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Book/collection name

Innovations in Dialysis Vascular Access Surgery

ISBN

978-1-5361-2158-2

Number of pages of the result

22

Pages from-to

317-338

Number of pages of the book

450

Publisher name

Nova Science Publishers

Place of publication

New York

UT code for WoS chapter

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